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NPI Code Detail

MEDICARE: NADA HEMEDAN DMD

MEDICARE: NADA HEMEDAN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401410778VA
2122300000XDentist0401410778VA

General Provider Information

NPI Number : 1942333984
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADA HEMEDAN DMD
Provider Business Mailing Address
First Line : 9671 A MAIN STREET
Second Line :
City : FAIRFAX
State : VA
Zip : 22031
Country : US
Telephone Number : 703-978-0000
Fax Number : 703-978-0005
Provider Business Practice Location Address
First Line : 9671 A MAIN STREET
Second Line :
City : FAIRFAX
State : VA
Zip : 22031
Country : US
Telephone Number : 703-978-0000
Fax Number : 703-978-0005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 05/20/2014

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Directions to “ NADA HEMEDAN DMD” Practice Location

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